IN THE NEWS

Splenic Trauma

Splenic Trauma

As the decades have rolled by, the management of splenic trauma has changed significantly. The long-practiced tradition of removing the spleen for the slightest insult has been consigned to the history books, alongside similarly traumatic memories like the Oasis break up (come on Noel!).

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Drunken Wrestling, Painful Belly

Drunken Wrestling, Painful Belly

It’s a typical Saturday late shift, ticked over midnight to Sunday morning. A young intoxicated man stumbles into triage complaining of severe abdominal pain. He tells you he has had “Quite a few” (read as “a lot”) of drinks tonight and shares that a few hours ago, while playfighting with his mate (as one does following “quite a few”), his mate had fallen onto his abdomen.

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Altitude Sickness

Altitude Sickness

A great talk from Dr Danny Marhaba on Altitude Sickness. Albeit not a presentation we will see often in Australia, but an important one nevertheless – particularly if you are exhibition-medicine-inclined.

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Respiratory Failure Post Thoracocentesis

Respiratory Failure Post Thoracocentesis

THE CASE: A 60-year-old female presents to the Emergency Department with progressive shortness of breath over several months. On assessment in the emergency department, she had marked shortness of breath at rest and oxygen saturations of 90% on room air. A portable erect chest X-Ray was performed.

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Will that scan give me cancer?

Will that scan give me cancer?

Every day I send patients for x-rays or CT scans to help with the diagnosis of various conditions. I often mention the “risk of radiation” to my patients, but truth be told is I’ve never really known how much risk there actually is.

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Neck radiographs: the stridulous child

Neck radiographs: the stridulous child

So, behold the soft tissue x-rays. This is a historical Part 2 Exam favourite cropping up every few years in some form or another. Just to signpost, for what conditions might soft tissue neck x-rays be used with regards to acute diagnoses in the Emergency Department?

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